Organization Active NPI

Austin House Inc.

  • Assisted Living Facility
  • Cottonwood, AZ
National Provider Identifier
1104976265
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALC-5587 Issued in AZ
Legal business name
AUSTIN HOUSE INC.
Practice address
195 S Willard St
Cottonwood, AZ 86326-4123
Phone
(928) 634-4278
Fax
(928) 649-3158
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cindy L Bond, M.B.A., H.C.M.
Title
President
Phone
(928) 634-4278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALC-5587 AZ Primary

Addresses

Primary practice location

195 S Willard St
Cottonwood, AZ 86326-4123

Mailing address

195 S Willard St
Cottonwood, AZ 86326-4123
Phone (928) 634-4278

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104976265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264123",
            "telephone_number": "928-634-4278",
            "fax_number": "928-649-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264123",
            "telephone_number": "928-634-4278",
            "fax_number": "928-649-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-634-4278",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.B.A., H.C.M."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC-5587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.